HomeMy WebLinkAbout125 Sullivan 2026 Rental Applicationln accorda
conta
nce with 1os cMR 410'56{'' and exccpt It provided in 1os cMR 41o.s6o{c) (tor BUIK items) , the owner of any resrdenceining two or mor€ dwe ing uniE. a rooming housa, hometess sh.tter, o,. manrra"tur"o housing community, sha*. beresponsible tor and pay for the final coltection and uttimate disposat of refuse.
I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCEwrTH MA STATE SANTTARYCODE 105 CMR 410.560 (C)AND 1Os cMR 410.s60 (4)(E)
OWNER INITIALS
RENTAL PROPER]'Y ADDRESS/2f RJ.lJesr
PHONE # OR EMAIL wlLL PROCESSED
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PRO OWNER NAI4Erc
PROPERTY NER AILING ADDRESS
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ALTERNATIVE PHONE #
PRO PERTY OWNER EMAIL ADDRESS
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REPRESENTATIVE P NE
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REQUIRED
REQUIRED
REPRESENTAT
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EMAIL AD RESS
RENTAL PERIOD
TRASH REMOVAL BY
PAID PICK-UP TRASH COMPANY NAME
RENTAL OF:
-TERI'4/YEAR.ROUND :SHORT.TERM/1/I/EEKLY
. OWNER
SE trDUPLEX ICONDO C APARTMENT OROOM
NUMBER OF UNITS FOR RENT: /
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NENTAI.S
RENTAL AG ENTOWNER'S EPRESENTATIV
IF APPLICAELE
I hereby acknowtedge that lheve thoroughty reviewed and am futty famitiar with the fottowing regulationsTown of Yarmouth Chapter 1OB -Rontat Housing Bylaw, Town of Yarmouth Chaptor i Oa -Anti-Noise Byl,aw, Town of yarmouthShort-Term Rsntal, Bytiaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for HumanHsbitation
These documents are available for refer€nce on the officiatTown oi Yarmouth website and may also be obtained upon requestfrom theYarmouth Heatth Department. Funhermore, I understand that I am .equired to notify the Heatth Depanment in writing when I c€aserentingths property. Faiture to do so may resutt in the imposition offines and/or fees.
QUESTIONS: Phone #: 508-398-2231 Ex.124O, EmaiL rnrederberger@ya rmouth. ma.us
APPLICANT SIGNATURE DATE
5
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